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Jennifer Anne Zaide BSN iv2

disregard leave unattended to

Unintentional act or failure to act as a prudent person resulting to harm to another

commission or omission of an act, pursuant to a duty, that a reasonably prudent person in the same or similar circumstance would

or would not do, and acting or the non-acting of which is the proximate cause of injury to another person or his property

"failure to use such care as a reasonably prudent and careful person would use under similar circumstances." (JCAHO)

A more general term referring to a deviation from the standard of care that a reasonable and prudent person would use in a particular set of circumstances

The average judgment, foresight, intelligence, & skill that would be expected of a person with similar training and experience

(+) negligence fail to meet standards (-) negligence meets standards

Law of negligence is part of what is known as tort law tort French, means wrong

In this case a mother made a routine prenatal visit to the hospital. While in the waiting room

the mother complained to the nurse of severe abdominal pain. Over the next hour and a half the mother complained of pain five

times, and each time was told she would have to wait to be examined. When the mother was finally examined the fetal HR was

only 60-70 bpm. An emergency caesarean was performed but the baby was born severely depressed and hypoxic and

developed seizures within the first hour. The hospital settled this case for $2M for severe brain injury to the newborn infant

1.Duty 2.Breach of duty 3.Causation 4.Damages

Easiest to prove Nursing standards: internal or external

Injured party must prove that a breach of duty has occurred Involves the matter of foreseeability

Injury must have been actually caused by the breach of duty Most difficult to prove

to recover damages, actual damages must have occurred to the injured party

Article 19 of the Civil Code Article 20 of the Civil Code

Burns Objects left inside a persons body falls

Failure to exercise the degree of diligence which the circumstances of the particular case demands

Failure to report observations Mistaken identity Wrong med., wrong conc., wrong route, wrong dose

Defects in equipment that may result in injuring patients Errors d/t family assistance

Administration of medicine without a doctors prescription Sample case: A case of negligence was filed against a

puericulture center nurse in 1979 for injecting Penstrep to a boy who had a swollen foot. The nurse informed the parents that she was

not a doctor. Upon insistence of the parents to have their child treated, she informed them that the doctor usually gave Penstrep injections in

such cases. She injected the medicine without a doctors prescription. The boy died of cardiorespiratory failure

secondary to anaphylactic shock d/t the injection of the drug. The nurse was found guilty as charged.

1. Res Ipsa Loquitur 2. Respondeat Superior 3. Force Majeure

the thing speaks for itself Injury is enough proof of negligence

3 conditions are required to establish defendants negligence: 1. Injury of such nature wouldnt occur unless there was negligence

2. Injury caused by agency w/in control of defendant 3. Plaintiff did not engage in any way that would bring about injury

The presence of sponges in the patients abdomen after an operation

let the master answer for the acts of the subordinate Liability expanded to include master

an irresistible force

improper or unethical conduct or unreasonable lack of skill by a holder of a professional or official position (JCAHO)

Malpractice is a cause of action for which damages are allowed. (JCAHO)

Stepping beyond ones authority with serious consequences Term for negligence or carelessness of professional personnel

Lesnik (1962) Malpractice is used properly only when it refers to a negligent act committed in the course of professional performance

To determine what is and what is not careless, the law has developed a standard of care which can be determined by

deciding what a reasonably prudent person would do under similar circumstances

Giving anesthesia by a nurse or prescribing medicines

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